| Medical Home Access and Health Care Use and Expenditures Among Children With Special Health Care Needs. | |
| | |
MedLine Citation:
|
PMID: 22147757 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
OBJECTIVE: To test associations between having a medical home and health services use and expenditures among US children with special health care needs (CSHCN). DESIGN: Cross-sectional analysis. SETTING: The 2003-2008 Medical Expenditure Panel Surveys. PARTICIPANTS: A total of 9816 CSHCN up to 17 years, including 1056 with a functional or sensory limitation and 8760 without a limitation. Main Exposure Parent or caregiver report of CSHCN having a medical home. MAIN OUTCOME MEASURES: We examined CSHCN's annual use of outpatient, inpatient, emergency department, and dental visits, and annual outpatient, inpatient, emergency department, prescription medication, dental, and other health care expenditures. RESULTS: CSHCN with a medical home had 14% more dental visits compared with CSHCN without a medical home (incidence rate ratio [IRR], 1.14; 95% CI, 1.03-1.25); this finding is significant for CSHCN without limitations but not for those with limitations. The medical home was associated with greater odds of incurring total, outpatient, prescription medication, and dental expenditures (odds ratio range, 1.25-1.92). Among CSHCN with a limitation, children with a medical home had lower annual inpatient expenditures compared with those without a medical home (mean, -$968; 95% CI, -$121 to -$1928), and among CSHCN without a limitation, children with a medical home had higher annual prescription medication expenditures compared with those without a medical home (mean, $87; 95% CI, $22-$153). CONCLUSIONS: There were few differences in annual health services use and expenditures between CSHCN with and without a medical home. However, the medical home may be associated with lower inpatient expenditures and higher prescription medication expenditures within subgroups of CSHCN. |
| | |
Authors:
|
Melissa A Romaire; Janice F Bell; David C Grossman |
Related Documents
:
|
6641057 - Nutrient pathways to extensor tendons within the extensor retinacular compartments. an ... 21876947 - Medication therapy: adherence, knowledge and difficulties of elderly people from bipola... 15721547 - Study on the photocatalysis performance and degradation kinetics of x-3b over modified ... 21707557 - Anticholinergic medication use and cognitive impairment in the older population: the me... 17258507 - Anticonvulsants in sports: ethical considerations. 19302437 - Reduction in medication costs for patients with chronic nonmalignant pain completing a ... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-12-5 |
Journal Detail:
|
Title: Archives of pediatrics & adolescent medicine Volume: - ISSN: 1538-3628 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
|
Created Date: 2011-12-7 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9422751 Medline TA: Arch Pediatr Adolesc Med Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
School of Public Health (Drs Romaire, Bell, and Grossman), and Department of Pediatrics (Dr Grossman), University of Washington, and Group Health Research Institute (Dr Grossman), Seattle. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Altered Lignin Biosynthesis Improves Cellulosic Bioethanol Production in Transgenic Maize Plants Dow...
Next Document: Parental Recall of Doctor Communication of Weight Status: National Trends From 1999 Through 2008.